NPI | 1851552111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 29891) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.29891) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2015-12-09 |